Pharmacotherapeutics for
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 6
A 66-year-old woman with atrial fibrillation is prescribed an oral
anticoagulant by an APRN. During medication reconciliation, she
reports taking several over-the-counter herbal supplements. Which
action best demonstrates safe prescribing practice?
A. Advise the patient that herbal supplements are natural and therefore
unlikely to interact with prescription medications.
B. Discontinue all herbal supplements without discussing their purpose
or potential risks.
C. Assess each supplement for potential drug interactions, counsel the
patient on clinically significant risks, and document the discussion
before initiating therapy.
D. Delay anticoagulation indefinitely until the patient agrees to stop all
supplements.
Correct Answer: C
Rationale:
Medication reconciliation includes prescription medications, over-the-
counter products, vitamins, and herbal supplements because many can
alter drug metabolism or increase adverse effects, including bleeding
risk. APRNs should identify clinically relevant interactions, educate
patients, and document counseling while balancing risks and benefits.
Options A, B, and D either minimize risk, fail to engage in shared
decision-making, or unnecessarily delay treatment.
,Question 7
An APRN prescribes an antihypertensive medication for a patient with
limited health literacy. Which intervention is most likely to improve
medication adherence and safe medication use?
A. Provide only the prescription because written instructions are
sufficient.
B. Use plain language, review key instructions, employ the teach-back
method, and answer the patient's questions.
C. Instruct the patient to search online for additional medication
information.
D. Provide the medication insert without additional counseling.
Correct Answer: B
Rationale:
Effective patient counseling is an essential component of prescribing.
Using plain language and the teach-back method confirms patient
understanding and improves adherence while reducing medication
errors. Written materials alone may not ensure comprehension,
particularly in patients with limited health literacy. Options A, C, and D
do not adequately verify patient understanding.
Question 8
An APRN evaluates a 31-year-old woman before prescribing medication
for a chronic condition. The patient states she is actively trying to
become pregnant. Which prescribing principle is most appropriate?
A. Pregnancy planning is not relevant until pregnancy is confirmed.
, B. Prescribe the medication with the greatest efficacy regardless of
reproductive considerations.
C. Discuss reproductive plans, evaluate fetal risk, consider safer
therapeutic alternatives when appropriate, and engage in shared
decision-making before prescribing.
D. Avoid prescribing any medication to women of childbearing
potential.
Correct Answer: C
Rationale:
Pregnancy intentions should be assessed before prescribing
medications with potential fetal risks. APRNs should evaluate maternal
benefits, fetal risks, available alternatives, contraception when
appropriate, and involve the patient in shared decision-making. Options
A and B disregard important safety considerations, while D is overly
restrictive and inconsistent with evidence-based care.
Question 9
A patient returns two weeks after starting a new antihypertensive
medication. Blood pressure has improved, but the patient reports
dizziness when standing. What is the APRN's best next step?
A. Instruct the patient to stop the medication immediately without
further evaluation.
B. Continue the medication unchanged because improved blood
pressure indicates successful treatment.
C. Evaluate orthostatic symptoms, review blood pressure
measurements, assess medication adherence and contributing factors,
Advanced Practice Nurse
Prescribers with Davis Edge
6th Edition
• Author(s)Teri Moser Woo; Wendy
L. Wright
TEST BANK
▪ The Foundation
▪ Pharmacotherapeutics with Single Drugs
▪ Pharmacotherapeutics with Multiple Drugs
▪ Special Drug Treatment Considerations
,Question 6
A 66-year-old woman with atrial fibrillation is prescribed an oral
anticoagulant by an APRN. During medication reconciliation, she
reports taking several over-the-counter herbal supplements. Which
action best demonstrates safe prescribing practice?
A. Advise the patient that herbal supplements are natural and therefore
unlikely to interact with prescription medications.
B. Discontinue all herbal supplements without discussing their purpose
or potential risks.
C. Assess each supplement for potential drug interactions, counsel the
patient on clinically significant risks, and document the discussion
before initiating therapy.
D. Delay anticoagulation indefinitely until the patient agrees to stop all
supplements.
Correct Answer: C
Rationale:
Medication reconciliation includes prescription medications, over-the-
counter products, vitamins, and herbal supplements because many can
alter drug metabolism or increase adverse effects, including bleeding
risk. APRNs should identify clinically relevant interactions, educate
patients, and document counseling while balancing risks and benefits.
Options A, B, and D either minimize risk, fail to engage in shared
decision-making, or unnecessarily delay treatment.
,Question 7
An APRN prescribes an antihypertensive medication for a patient with
limited health literacy. Which intervention is most likely to improve
medication adherence and safe medication use?
A. Provide only the prescription because written instructions are
sufficient.
B. Use plain language, review key instructions, employ the teach-back
method, and answer the patient's questions.
C. Instruct the patient to search online for additional medication
information.
D. Provide the medication insert without additional counseling.
Correct Answer: B
Rationale:
Effective patient counseling is an essential component of prescribing.
Using plain language and the teach-back method confirms patient
understanding and improves adherence while reducing medication
errors. Written materials alone may not ensure comprehension,
particularly in patients with limited health literacy. Options A, C, and D
do not adequately verify patient understanding.
Question 8
An APRN evaluates a 31-year-old woman before prescribing medication
for a chronic condition. The patient states she is actively trying to
become pregnant. Which prescribing principle is most appropriate?
A. Pregnancy planning is not relevant until pregnancy is confirmed.
, B. Prescribe the medication with the greatest efficacy regardless of
reproductive considerations.
C. Discuss reproductive plans, evaluate fetal risk, consider safer
therapeutic alternatives when appropriate, and engage in shared
decision-making before prescribing.
D. Avoid prescribing any medication to women of childbearing
potential.
Correct Answer: C
Rationale:
Pregnancy intentions should be assessed before prescribing
medications with potential fetal risks. APRNs should evaluate maternal
benefits, fetal risks, available alternatives, contraception when
appropriate, and involve the patient in shared decision-making. Options
A and B disregard important safety considerations, while D is overly
restrictive and inconsistent with evidence-based care.
Question 9
A patient returns two weeks after starting a new antihypertensive
medication. Blood pressure has improved, but the patient reports
dizziness when standing. What is the APRN's best next step?
A. Instruct the patient to stop the medication immediately without
further evaluation.
B. Continue the medication unchanged because improved blood
pressure indicates successful treatment.
C. Evaluate orthostatic symptoms, review blood pressure
measurements, assess medication adherence and contributing factors,
